Organization Active NPI

Kiley Chiropractic Life Center

  • Chiropractor
  • Cadillac, MI
National Provider Identifier
1346550852
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KILEY CHIROPRACTIC LIFE CENTER
Doing business as
Kiley Chiropractic
Practice address
9116 E 13TH St
Cadillac, MI 49601-8126
Phone
(231) 775-1357
Fax
(231) 775-4709
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Everett Kiley, D.C.
Title
Owner
Phone
(231) 775-1357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9116 E 13TH St
Cadillac, MI 49601-8126

Mailing address

PO Box 656
Cadillac, MI 49601-0656
Phone (231) 775-1357

Other identifiers 2

IdentifierTypeStateIssuer
143066839MedicaidMI
950H350120OtherMIBCBS

Other names 1

  • Kiley Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

9116 E 13th St
Cadillac, MI 49601
Phone (231) 679-2670

Interoperability endpoints

  • Direct secure messaging: adjust@kc0018.direct.chirotouch.md

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1346550852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010656",
            "telephone_number": "231-775-1357",
            "fax_number": "231-775-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 E 13TH ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018126",
            "telephone_number": "231-775-1357",
            "fax_number": "231-775-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILEY CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "KILEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-775-1357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143066839",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950H350120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.